Soft tissue infections caused by marine bacterial pathogens: Epidemiology, diagnosis, and management

被引:49
作者
Finkelstein R. [1 ,2 ]
Oren I. [1 ,2 ]
机构
[1] Infectious Diseases Unit, Rambam Healthcare Campus
[2] Bruce Rapport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa
关键词
Aeromonas; Diagnosis; Epidemiology; Erysipelothrix rhusiopathiae; Marine pathogens; Mycobacterium marinum; Shewanella; Soft tissue infections; Streptococcus iniae; Treatment; Vibrio;
D O I
10.1007/s11908-011-0199-3
中图分类号
学科分类号
摘要
Skin and soft tissue infections (SSTIs) are one of the most common infection syndromes and may be caused by a large number of microorganisms. Some principles of aquatic injuries are different than those of land-based trauma. Wounds sustained in marine environment are exposed to a milieu of bacteria rarely encountered in different settings. These include Vibrio spp., Aeromonas spp., Shewanella spp., Erysipelothrix rhusiopathiae, Mycobacterium marinum, Streptococcus iniae, and other microbes. Failure to recognize and treat these uncommon pathogens in a timely manner may result in significant morbidity or death. These infections are frequently contracted as a result of recreational swimming, fishing injuries, or seafood handling. The spectrum of manifestations is wide, varying from cases of mild cellulitis, to severe life-threatening necrotizing fasciitis requiring radical surgery, to sepsis and death. This review will focus on the epidemiology, clinical manifestations, and treatment of SSTIs caused by the most important marine pathogens. © 2011 Springer Science+Business Media, LLC.
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页码:470 / 477
页数:7
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